Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kalle Marc Stidham, DO

Individual provider Orthopaedic Surgery Physician · NPI 1164627501

Dr. Kalle Marc Stidham, DO is an Orthopedic Surgery in San Jose, California. Qualified in 2002, 24 years ago. Practices with Dr Morteza Farr DO Inc, a 2-clinician group. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

550 S Winchester Blvd Ste 100
San Jose, CA 95128-2544
Phone: (650) 851-4900
Fax: (408) 556-8415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 20A10063 (CA)

Record details

NPI number1164627501
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 17, 2007
Last updated in NPPESApril 22, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Dr Morteza Farr Do Inc — 2 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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